A majority of frail Medicare patients who enter nursing homes in need of rehabilitation therapy now receive higher-paying intensive therapy before they leave, a major shift from just years ago, despite no evidence that such therapy is needed. The shift makes the rehab arena an attractive target for...
Medicare and Medicaid are two of the top three government programs making improper payments, and several steps should be taken to reduce those amounts, the U.S. comptroller general said during a Senate hearing Thursday.
Nursing homes that have seen little change in the age or ailments of their patients have increasingly billed Medicare for highly intensive and profitable services at significant cost to the program, according to a new report that may spur the government to change how the facilities are paid.
New York state's experiment to better coordinate care for low-income and disabled residents who are dually eligible for Medicaid and Medicare is losing hundreds of enrolled beneficiaries.
Medicare paid $30 million for ambulance rides for which no record exists that patients got medical care at their destination, the place where they were picked up or other critical information.
The CMS needs to do a better job ensuring that there are adequate networks for Medicare Advantage plans, according to a new analysis by the Government Accountability Office.
The CMS is launching an experiment to increase medication adherence for Medicare beneficiaries on Part D plans. The goal is to improve patient care, avoid hospitalizations and emergency room visits, and save money for Medicare.
The CMS Innovation Center is beefing up reporting requirements in a revived Partnership for Patients program whose initial three-year effort fell short of expectations in reducing hospital-acquired conditions that cause patient harm.
The CMS has proposed paying private insurance rates for clinical diagnostic laboratory tests beginning on January 1, 2017, which would lead to sharply lower prices for Medicare.
A government shutdown on Thursday could have a ripple effect on healthcare providers, but most likely only if the shutdown is prolonged.
The U.S. healthcare system is investing a lot of time, energy and money into the concept of value-based care, and a fascinating commentary in the New England Journal of Medicine hits that idea squarely in the gut.
Spending less for healthcare means less healthcare happens. Hospitals and doctors perform fewer tests and procedures. Hospital operating budgets shrink. Patients leave the hospital more quickly. But what, then, happens to our health?